Riccardo Filice, Francesca Miselli, Isotta Guidotti, Licia Lugli, Giovanni Palazzi, Alberto Berardi, Lorenzo Iughetti
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引用次数: 0
摘要
小儿头部创伤的处理需要在准确性和安全性之间取得微妙的平衡,既要强调及时诊断,又要尽量减少辐射暴露。超声波检查(US)在这方面大有可为。一项涉及 10 个月大婴儿右顶叶急性肿胀的病例研究显示,超声波检查在发现相应的低回声病变以及潜在的疑似穹隆骨折线和硬膜下血肿方面非常有用。随后的 CT 证实了骨折,而 MRI 则证实了硬膜下血肿。在一个月的随访中,核磁共振成像显示血肿重新吸收,而超声波检查显示骨茧处于晚期。虽然 US 还不是小儿头部创伤的标准治疗方法,但其检测婴儿骨折的能力表明了它的潜在作用:当 US 显示骨折时,可作为进行神经影像学检查的指征。采用 US 可能有助于减少儿童暴露于电离辐射。
Identifying skull fractures after head trauma in infants with ultrasonography: is that possible?
Management of pediatric head trauma requires a delicate balance between accuracy and safety, with a dual emphasis on prompt diagnosis while minimizing radiation exposure. Ultrasonography (US) shows promise in this regard. A case study involving a 10-month-old infant with acute right parietal swelling revealed the utility of US in detecting a corresponding hypoechoic lesion, along with an underlying suspected fracture line of the vault and subdural hematoma. Subsequent CT confirmed the fracture, while MRI confirmed the subdural hematoma. At one-month follow-up, MRI demonstrated hematoma reabsorption, while US revealed a bone callus in its advanced phase. Although US is not yet standard practice for pediatric head trauma, its ability to detect fractures in infants suggests its potential role: when a fracture is evident on US, it may serve as an indication to perform neuroimaging. Potentially, adoption of US could contribute to mitigation of children's exposure to ionizing radiation.
期刊介绍:
The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.